Surgery [13 Feb 18] Revenge of the Silt - 99 days til his imaginary surgery

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Oh god it shows OHSU in the video, guess he is back in Portland then. I know it was a good idea to move out of there when I did...

I've been skimming the the ADF board and I can't seem to find any info on how the fuck he is affording this. Is this some sort of scam for to get money for a "surgery", or does ADF actually have a sponsor? Even if there was a sponsor it would still be a LARGE chunk of change to do it.
 
Oh god it shows OHSU in the video, guess he is back in Portland then. I know it was a good idea to move out of there when I did...

I've been skimming the the ADF board and I can't seem to find any info on how the fuck he is affording this. Is this some sort of scam for to get money for a "surgery", or does ADF actually have a sponsor? Even if there was a sponsor it would still be a LARGE chunk of change to do it.

It's quite possibly covered by some kind of state health program, or maybe even federal. He has a disability finding from Social Security that at least mentions gender dysphoria and, according to the law, if you're on disability you have to seek treatment for any disabling conditions. You can't just wallow in your illness and do nothing. If doctors say you could be helped with treatment, you're obligated to seek it.

I personally don't think he's doing anything whatsoever actually to seek surgery. It's just another of his dumb lies. But if he wanted to and put the effort in, he could probably manage to get it covered somehow. It's Oregon. There are all kinds of trans advocacy groups that give legal advice on how to go about this stuff.
 
It's quite possibly covered by some kind of state health program, or maybe even federal. He has a disability finding from Social Security that at least mentions gender dysphoria and, according to the law, if you're on disability you have to seek treatment for any disabling conditions. You can't just wallow in your illness and do nothing. If doctors say you could be helped with treatment, you're obligated to seek it.

I personally don't think he's doing anything whatsoever actually to seek surgery. It's just another of his dumb lies. But if he wanted to and put the effort in, he could probably manage to get it covered somehow. It's Oregon. There are all kinds of trans advocacy groups that give legal advice on how to go about this stuff.
Yeah but the disability he is on is temporary. He got it with help from Jordman for PTSD. His disability is not for gender dysphoria or being a retard
 
Yeah but the disability he is on is temporary. He got it with help from Jordman for PTSD. His disability is not for gender dysphoria or being an exceptional individual
Gender Dysphoria is not a quantifiable mental disability for SSDI as dictated by the Government. PTSD, or otherwise is. His Autism would even work.
 
Yeah but the disability he is on is temporary. He got it with help from Jordman for PTSD. His disability is not for gender dysphoria or being an exceptional individual

It was reviewed a few months ago, though. We don't really know whether it's been extended or made permanent, but if it had been taken away, you know spuds would be screaming.

Gender Dysphoria is not a quantifiable mental disability for SSDI as dictated by the Government. PTSD, or otherwise is. His Autism would even work.

Just because something isn't in the Listing of Impairments doesn't mean it can't be part of a determination. Although he has diagnoses in the Listing, none of them meet the List criteria by themselves. However, disability is a condition or combination of conditions that preclude full-time employment available in the economy.

So if you don't qualify under a Listing, but can still prove that whatever you have meets those criteria, you can establish disability. In the case of spuds, he doctor shopped until he could cobble together enough bullshit to snow the SSA.
 
Answering several of the last posts:

- ADF showed us the papers for his SSDI. They are for his Autism, more or less, and it mentioned chronic depression and PTSD as well. Given that ADF has always been involved in special-needs programs, the government has clearly deemed him non-functional. How they simultaneously also deemed him capable of managing his funds is beyond me, but I presume they "pass" as many people as possible for simplicity's sake. (They also mentioned the somewhat-amusing phrase "patient also claims to be a transgender woman". I can't find the image right now, but it's here somewhere.)

- ...In defense of the PTSD diagnosis, while we're all pretty doubtful of the parental abuse stories, being homeless is actually genuinely traumatizing, and I'd argue this is probably an accurate Dx, at least nowadays.

- There is no such thing as "Temporary SSDI", it's always basically permanent. Everyone goes through regular reviews for renewal, however. The "hiccup" in his SSDI funds a few years back happened during some government issue unrelated to Phil -- a disabled vet friend of mine also was back-owed several thousands of dollars during that period -- which is why he was going through all that paperwork process.

- ADF has been in Portland for some time now and has an apartment in his name, in some kind of subsidized housing. Source: https://kiwifarms.net/attachments/upload_2016-5-19_13-54-32-png.95570/

- As for where ADF is goingfor transgender services, there are plenty of places to go. OHSU often has cheaper prices for medical services, so if he's paying out of pocket it would make sense to go there. There are several "informed consent" doctors in Portland, and plenty of others that would take you if you are "established" (which sort of just auto-confirms your "diagnosis" to people).

I personally think that ADF's level of autism does qualify him to be disabled, and his poor capability of handling life is clear evidence. The most relatively-stable times in his adulthood were when he had a stronger personality reigning him in. Remember the period of quietness before we started the original ADF thread? He was with Tweaker then, who was clearly keeping a lid on ADF's worst behavior.
 
Answering several of the last posts:

- ADF showed us the papers for his SSDI. They are for his Autism, more or less, and it mentioned chronic depression and PTSD as well.

Actually, no. It's mentioned but it is only listed as one of Phil's claims, not necessarily the cause. The only findings of severe impairments are:

depressive disorder
anxiety disorder
personality disorder

"3. The claimant has the following severe impairments: a depressive disorder, an anxiety disorder, and a personality disorder (20 CFR 404.1520(c) and 416.920(c))."

I also got this wrong: gender dysphoria isn't one of the major problems that would necessarily require treatment. Still, Phil is expected to seek treatment for any disabling conditions.

"The claimant has alleged disability on the basis of autism/Asperger’s syndrome, post traumatic stress disorder (PTSD), a generalized anxiety disorder, a dissociative disorder, a personality disorder and fibromyalgia. She reported that her symptoms include suicidal ideation, difficulty interacting with others, difficulty sleeping, memory problems and impaired concentration. As a result of her symptoms, the claimant has become homeless and has difficulty performing tasks, including personal care. The claimant also testified that she is transgender woman who is transitioning from a man (see, Exhibits ?E, 6E, 10E, 11E & 15E and hearing testimony)."

- There is no such thing as "Temporary SSDI", it's always basically permanent.

I'm going to quibble with that. At least, while it may not be called that, there are two types of periods of disability: open and closed. A closed period ends at some point. Whether or not it's open or closed is generally only found after the fact. For instance, if you have a disability that lasts over 12 months but your claim has been denied, you could be awarded a closed period finding that while you are not currently disabled, you were in the past and are entitled to back benefits.

However, there are also two classifications of types of disability when you do receive an award based on current disability.

Things like temporarily disabling injuries, or other conditions expect to improve with treatment, usually have something in the decision like this from Phil's:

"Medical improvement is expected with appropriate treatment. Consequently, a continuing disability review is recommended in 24 months."

People like Chris, by comparison, are not expected to improve. They only have a continuing disability review every seven years. From the SSA:

"Social Security conducts a disability review of your case approximately every three years depending on the nature and severity of your medical condition and whether it’s expected to improve. If we don’t expect improvement, we’ll review your case every seven years."

I'll note that in Phil's case, the period was only two years and improvement was expected.

So while it's true they don't call it "temporary" or "permanent" as such, when they award disability, they either issue the award with the expectation that it will end at some time, or the expectation that it will continue indefinitely. The main impact of this is that reviews occur more frequently when improvement is expected; in both cases, the burden of proof that improvement has actually occurred is on the SSA; and in both cases, disability continues if the SSA does not meet its burden of proof.

Also, and this is entirely a personal opinion based on seeing lots of these cases play out, while the legal standard is supposedly the same for CDR for both kinds of disability award, my opinion is that the ALJ seems more aggressive in trying to find improvement in the "expected to improve" cases and they are more often terminated.

Since we haven't had it here in a while, here's the whole decision, or at least the parts that Phil posted with omissions noted.

FINDINGS OF FACT AND CONCLUSIONS OF LAW

After careful consideration of the entire record, I make the following findings:

1. The claimant’s date last insured is December 31, 2014.

2. There is no evidence of substantial gainful activity since August 31, 2010, the alleged onset date (20 CFR 404.1520(b), 404.1571 et seq., 416.920(b) and 416.971 et seq.).

There is no evidence that the claimant has engaged in substantial gainful activity at any time relevant to her applications for benefits (see, Exhibits 3D-8D, 10D-12D, 2E & 3E and hearing testimony). Therefore, a finding of disability is not precluded on the basis of work activity.

3. The claimant has the following severe impairments: a depressive disorder, an anxiety disorder, and a personality disorder (20 CFR 404.1520(c) and 416.920(c)).

The claimant has alleged disability on the basis of autism/Asperger’s syndrome, post traumatic stress disorder (PTSD), a generalized anxiety disorder, a dissociative disorder, a personality disorder and fibromyalgia. She reported that her symptoms include suicidal ideation, difficulty interacting with others, difficulty sleeping, memory problems and impaired concentration. As a result of her symptoms, the claimant has become homeless and has difficulty performing tasks, including personal care. The claimant also testified that she is transgender woman who is transitioning from a man (see, Exhibits ?E, 6E, 10E, 11E & 15E and hearing testimony).

As will be discussed below, the findings reported in the claimant’s medical records indicate that the above impairments have more than a minimal effect on her ability to work. I therefore find that the claimant’s impairments are “severe.”

4. The severity of the claimant’s impairments meets the criteria of Section 12.06 of the Listing of Impairments found at 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525, 416.920(d) and 416.925).

According to the claimant’s medical records, she legally changed her name after determining that she wanted to transition from male to female and was placed on a hormone regimen by her physician in May 2020 (Exhibit 1F/36). Thereafter, during a subsequent visit to the Mazzoni Center in June 2011, the claimant requested a referral for psychiatric treatment as she was

[. . .]

August 2013, she presented to the emergency room shortly thereafter, with suicidal ideation. Her emergency room physician suggested that the claimant’s current symptoms may have been precipitated by the new medication and her medication was stopped (Exhibit 13F/4).

At the hearing, the medical expert testified that he had reviewed the record, including the evidence of persistent depression, uncontrolled with psychotropic medication, and of a personality disorder, with difficulty functioning on a day-to-day basis. Dr. Tanenhaus specifically noted that the record describes a sleep disturbance, psychomotor agitation, feelings of worthlessness and difficulty concentrating, as contemplated under the “paragraph A” criteria of Section 12.04. He further testified that the record describes evidence of persistent disturbances of mood or affect and intense and unstable interpersonal relationships, as contemplated under the “paragraph B” criteria of both Section 12.04 and Section 12.08. In addition, in Dr. Tanenhaus’ opinion, the “paragraph B” criteria of both Section 12.04 and Section 12.08 are satisfied because the record indicates that the claimant’s impairments cause a mild restriction in activities of daily living, marked difficulties in maintaining social functioning, marked difficulties in maintaining concentration, persistence or pace, and no episodes of decompensation of extended duration.

I accept his testimony and accord it great weight, as it was based upon a review of the record in its entirety and is supported by the underlying medical evidence of record. Taking into consideration the opinion of the medical expert and the record as a whole, I find that the claimant suffers from a Listing level affective disorder that meets the criteria of Section 12.04 and from a Listing level personality disorder that meets the criteria of Section 12.08.

In making these findings, I have also considered other opinion evidence in accordance with the requirements of 20 CFR 404.1527 and 416.927 and SSRs 96-2p, 96-6p and 06-3p. I give some

[. . .]

I have also considered all symptoms and the [. . .] consistent with the objective medical evidence and other evidence, based on the [. . .] 20 CFR 404.1529 and 416.929 and SSRs 96-4p and 96-7p. After considering the evidence of record, I find that the claimant’s medically determinable impairments could reasonably be expected to produce the alleged symptoms, and that the claimant’s statements concerning the intensity, persistence and limiting effects of these symptoms are generally credible.

5. The claimant has been under a disability as defined in the Social Security Act since August 31, 2010, the alleged onset date of disability (20 CFR 404.1520(d) and 416.920(d)).

DECISION

Based on the application for a period of disability and disability insurance benefits filed on June 27, 2011, the claimant has been disabled under sections 216(i) and 223(d) of the Social Security Act since August 31, 2010.

Based on the application for supplemental security income protectively filed on February 16, 2013, the claimant has been disabled under section 1614(a)(3)(A) of the Social Security Act since August 31, 2010.

The component of the Social Security Administration responsible for authorizing supplemental security income will advise the claimant regarding the nondisability requirements for these payments and, if the claimant is eligible, the amount and the months for which payment will be made.

Medical improvement is expected with appropriate treatment. Consequently, a continuing disability review is recommended in 24 months.

/sneed/
Richard P. Laverdure
Administrative Law Judge

November 10, 2014
 
Actually, no. It's mentioned but it is only listed as one of Phil's claims, not necessarily the cause.
Oh, yeah, I agree, there was a big list of things leading to overall impairment. I presume they still have to prove that autism == dysfunction, since obviously there are non-disabled autistic people, so having a big list of things was probably necessary.

Lol, Personality Disorder? I didn't remember that, that's interesting, both legally and in terms of the psychological community.... let alone what it means about Phil. And yeah, GD isn't a disability, they just mention it as something of difficult circumstances...I just thought the wording of it was sort of amusing.

It's very interesting that the disorders they "counted" were the depression, anxiety, and PD. You'd think those would be the least likely to be approved. Shit, my life sucks too, give me disability! (Note, no offence to folks with actual disorders.)

Still, Phil is expected to seek treatment for any disabling conditions.
Well we know that isn't happening. I presume ADF like all other Portland-type queers believes that all therapy is "gatekeeping" and "conversion therapy" and that neither GD nor autism need treatment.....even when the therapy is for the depression etc. The only "treatment" ADF will seek is related to transition, I'm guessing. Has anyone ever heard of any actual therapy, besides the single medication attempt listed on that document?

response to quibbling: Oh, I agree with you, I'm was being overly simplistic. You and @DragoonSierra were actually correct though -- I didn't think Phil was marked as "expected to improve". Misunderstanding on my part.

(Most of the SSDI people I know are all vets, so sometimes they get shifts in the "percentage" of their disability, which I think is a VA thing, but I've never known someone to lose it.)


EDIT: I looked up the Personality Disorder definition for amusement. It is amusing.
12.08 Personality and impulse-control disorders (see 12.00B7), satisfied by A and B:

Medical documentation of a pervasive pattern of one or more of the following:
Distrust and suspiciousness of others;
Detachment from social relationships;
Disregard for and violation of the rights of others;
Instability of interpersonal relationships;
Excessive emotionality and attention seeking;
Feelings of inadequacy;
Excessive need to be taken care of;
Preoccupation with perfectionism and orderliness; or
Recurrent, impulsive, aggressive behavioral outbursts.
 
Ostatnio edytowane:
Well we know that isn't happening. I presume ADF like all other Portland-type queers believes that all therapy is "gatekeeping" and "conversion therapy" and that neither GD nor autism need treatment.....even when the therapy is for the depression etc. The only "treatment" ADF will seek is related to transition, I'm guessing. Has anyone ever heard of any actual therapy, besides the single medication attempt listed on that document?

I'm pretty sure he maintains some kind of contact with doctors and maybe even goes out of his way to do it. We know he visits the ER for utterly basic shit all the time. He may be dumb, but he knows he needs some kind of ongoing medical record of his bitching and complaining to get through a continuing disability review, and apparently did so successfully last time.

(Most of the SSDI people I know are all vets, so sometimes they get shifts in the "percentage" of their disability, which I think is a VA thing, but I've never known someone to lose it.)

That's a VA thing. VA disability is a percentage thing and you get it for any service-related disability, even fairly minor shit, although it can take a lot of wrangling with the VA before they give it to you (much like the SSA). SSI and SSDI people (or people who get both) are either entirely disabled or not disabled, since the definition is simply being able to work full-time employment in a job available in significant numbers in the regional or national economy, or meeting the criteria for at least one of the Listing of Impairments. If you meet one of those, even if you actually could work, you don't have to.
 
Yeah his disability has always been temporary and he is expected to improve. The fact that he had a job and quit kinda proves he has the ability to work.
 
Personality disorder isn't really a diagnosis so much as it is a catch all term for a variety of antisocial traits. It's basically a more clinical and politically correct term for "asshole."

It's actually a listed impairment. I don't think it should be. I think it should be an imprisonable offense.

But it is.
 
How they simultaneously also deemed him capable of managing his funds is beyond me
Easy, they literally ask anyone who's not lobotomized at the office, and over 18. "Do you pay for a bill first or those really shiny objects you like first?" And the process can go as simple as that.
 
Well we know that isn't happening. I presume ADF like all other Portland-type queers believes that all therapy is "gatekeeping" and "conversion therapy" and that neither GD nor autism need treatment.....even when the therapy is for the depression etc. The only "treatment" ADF will seek is related to transition, I'm guessing. Has anyone ever heard of any actual therapy, besides the single medication attempt listed on that document?

Phil likes to take advantage of free services because he’s a mooch. For a long time he was getting free acupuncture and sports massages and shit through a Portland homeless services program because they wouldn’t turn him away.

Because he’s a mooch and because he needed it for his disability review he did see therapists for a while. That’s how his completely misinterruperted diagnosis came out where the doctor specifically states “his ptsd and mpd are fake because he hates accepting responsibility for his actions. He uses it to try and deflect when he’s called out” and he took that to mean he actually had it.

Is he seeing one now, though? Probably, though this one would be focused his fake gender dysphoria because it’s a free service offered through one of the homeless programs he’s still leaching off of. At the least it’s a monthly checkup for his antidepressant and water pills.
 
Phil likes to take advantage of free services because he’s a mooch. For a long time he was getting free acupuncture and sports massages and shit through a Portland homeless services program because they wouldn’t turn him away.

Because he’s a mooch and because he needed it for his disability review he did see therapists for a while. That’s how his completely misinterruperted diagnosis came out where the doctor specifically states “his ptsd and mpd are fake because he hates accepting responsibility for his actions. He uses it to try and deflect when he’s called out” and he took that to mean he actually had it.

Is he seeing one now, though? Probably, though this one would be focused his fake gender dysphoria because it’s a free service offered through one of the homeless programs he’s still leaching off of. At the least it’s a monthly checkup for his antidepressant and water pills.
water pills? Since when did he need diuretics?
 
Easy, they literally ask anyone who's not lobotomized at the office, and over 18. "Do you pay for a bill first or those really shiny objects you like first?" And the process can go as simple as that.
And when his response is "Well first I make sure I get these awful tattoos and this fancy pig nose ring you've been noticing since I walked in, then with whatever's left I buy some huge vegetarian pizza and hope suckers on the internet pay for everything else." they just go "Oh ok, here's money?"
 
And when his response is "Well first I make sure I get these awful tattoos and this fancy pig nose ring you've been noticing since I walked in, then with whatever's left I buy some huge vegetarian pizza and hope suckers on the internet pay for everything else." they just go "Oh ok, here's money?"
Well, it's obvious he's lying. They don't do any further checking beyond that stupid singular question at the office.
 
Well, it's obvious he's lying. They don't do any further checking beyond that stupid singular question at the office.
Gosh, I should try to get a disability claim, if it's this easy. When they ask why I can just tell them "I go to Kiwi Farms", that should be exceptional enough to count.
 
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